James Howard Antoszyk, MD
Individual provider Active NPI Ophthalmology Physician · Charlotte, NC
NPI 1508814641 · NPPES record last updated May 3, 2018
Key facts
- NPI
- 1508814641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 96-00165 (NC)
- Practice address
- 6035 Fairview Rd
Charlotte, NC 28210-3256 - Phone
- (704) 295-3000
- Fax
- (704) 838-8494
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96-00165 | NC | MD | Ophthalmology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 96-00165 | NC | Yes |
Addresses
Primary practice location
6035 Fairview Rd
Charlotte, NC 28210-3256
Mailing address
6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494683003 | Other | NC | CIGNA |
| 0841724 | Other | NC | UNITED HEALTHCARE |
| 11626 | Other | NC | BCBS |
| 175006 | Other | NC | COVENTRY |
| 21855 | Other | NC | PARTNERS |
| 75514 | Other | NC | MEDCOST |
| 8911626 | Medicaid | NC | |
| 103936 | Other | NC | WELLNESS |
| 11615 | Other | NC | DOCTORS HEALTH PLAN |
| 376554 | Other | NC | MAMSI |
| 4205345 | Other | NC | AETNA |
| N08204 | Medicaid | SC | |
| 20082699 | Other | SC | SELECT HEALTH OF SC/FIRST CHOICE |
| 773579 | Other | SC | WELLCARE |
Other providers in Charlotte, NC
- Susan Farrar Antle
- Marie Antoine
- Vittorio Paolo Antonacci
- Jill Marie Antoniazzi
- Andrew Nicholas Antoszyk
- Nadia Corinne Antoszyk
- Antranique Neblett, LCSW
- Anuera Homecare LLC
- Obioma Anukwuem
- Martin Anuonye
All providers in Charlotte, NC · Ophthalmology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.